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Massachusetts rates for HCPCS J7612

Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.38 / $31.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.75 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.27 / $0.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.35 / $0.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $2.18
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.56
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.94 / $23.94 / $23.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.27 / $1.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.27 / $1.13